ACE Facility

Finding a provider for members being discharged

If you're a facility and want to know how to navigate Live and Work Well in order to search for an outpatient provider for a member being discharged, click here.

SPECIAL NOTE TO FACILITIES AT ALL LEVELS OF CARE

It's critically important that you inform Optum at the time of member discharge or step-down to a lower level of care. Failure to do so will result in delays of reimbursement, and very possibly denial of submitted claims. Reporting member discharge is consistent for all levels of  care, including acute inpatient, residential and partial hospitalization. Even if the member was admitted via our streamlined pre-certification process and concurrent reviews are temporarily suspended for your facility, you must always be sure to report every discharge or step-down level of care. Additionally, facilities may be contacted by Optum for intervention or review on an as needed basis, for admissions demonstrating significant complexity and/or recent chronicity.  

ACE PROGRAM RECOGNITION REVIEWS ARE DONE ON AN ANNUAL BASIS

Data on all ACE-recognized programs is completed on a 12-month look-back cycle each spring. When the data run is completed, we will notify facilities of the status of their ACE-qualifying programs, including whether the ACE Platinum recognition is retained, modified or recinded for one or more of the facility's qualifying programs..

Our top-performing facilties at all levels of care are publicly recognized with the Platinum ribbon within our online provider directories

We've listened to your feedback, and we've responded with renewed focus and a retooled Achievements in Clinical Excellence program

Introducing ACE 3.0

ACE 3.0 is a facility measurement and recognition program that acknowledges and rewards facilities for delivering both effective and efficient clinical care for all levels of facility care.

ACE 3.0 - improving on what's good and eliminating the not-so-good

With its quadruple aim, ACE 3.0 now allows for a more specific comparison of facility programs. We will continue to identify Platinum programs within the four condition categories: General Mental Health, SUD Alcohol, SUD Other, and Eating Disorders.  And in addition, we will be looking at performance separately in three levels of care: Inpatient, Residential, and Partial Hospitalization.

Top Performing
programs will be
designated as Platinum
  Facility program admissions
will be evaluated in condition
categories
  Facility program performance
will be evaluated separately
by level of care
 

 

ACE 3.0 will:

  • Deliver more clinically relevant and actionable metrics
  • Distinguish between specfic dianostic categories, levels of care and lines of business
  • Facilitate determinations that are accurate and more of an "apples-to-apples" performance assessment

The purpose of ACE 3.0 is to recognize and reward facilities accurately for delivering effective and efficient care

ACE 3.0 endeavors to evaluate facilities based upon trends in health care, as well as the feedback we garner from our network providers and facilities. Listening to what you have to say presents Optum with a fantastic opportunity to incorporate your thoughts and innovations into an evaluation program that is better for you, our members and the behavioral health community at large. Using unbiased data that is quantified and compared to both regional and similar program benchmarks, ACE 3.0 is now even better at Identifying variations in practice patterns, which drive increased costs and poor clinical outcomes.

The end result of our collabaoration with facilities will be to improve performance levels where appropriate and to help achieve and maintain Platinum designations for eligible treatment programs.

ACE Platinum status has its benefits

  • Streamlining the traditional Clinical Review process resulting in fewer phone calls
  • Identifying, recognizing and rewarding facilities that provide effective and efficient care for our members
  • Develop and promote transparency of effectiveness and efficiency metrics
  • Monitor success metrics for continuous program improvement

For a more in-depth explanation of the ACE Facility program, please explore the links below. And be sure to visit this page frequently for updates and information about our Achievements in Clinical Excellence program.

For questions or more information about ACE or your current ACE ranking, please contact us at ace@optum.com.

ACE Team Members
Alecia Lamb, MS, MA, LPC, LCP, LCPC
Supervisor for Central and West
alecia.lamb@optum.com
(314) 592-3790
Danna Lipton, LCSW
Supervisor for Northeast and Southeast Regions
danna.lipton@optum.com
(404) 949-2744
Patsy Reed, MA, LPCC, LADC
patrice.a.reed@optum.com
(952) 703-4469
Christina Preyor, LPC, DCC
christina.preyor@optum.com
(612) 642-7763
Kristin Dator, MSW, LSW
kristin.dator@optum.com
(952) 202-3987
Angela Harman, PsyD
angela.harman@optum.com
(503) 213-2236
Lori Huffman, M.Ed., LPC
lori.huffman@optum.com
(314) 592-3718
Charlene Jacobs, LMHC
charlene.jacobs@optum.com
(612) 632-5600
Chris Gales, LPC
christopher.gales@optum.com
(952) 687-3263
Jason M. Lopresti, Ph.D., LPC, NCC
jason.lopresti@optum.com
(612) 632-5185
Allison Feinberg, LCSW
allison.feinberg@optum.com
(952) 703-8510
Jecova Smiley, Ed. D, LPC, LCPC
jecova.smiley@optum.com
(952) 703-8561
Kariba Tucker, MS, LPC
kariba.tucker@optum.com
(952) 703-8562